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Biomedical subjects

Elizabeth Cornford

Publications and source records attributed to Elizabeth Cornford.

2 recordsLinked to original sources

Can Quit Practice: a comprehensive smoking cessation programme for the general practice team.

AIMS: To develop, implement, and evaluate a programme of training and support for smoking cessation provision in general practice. METHODS: The Can Quit Practice Programme was developed for delivery in general practices with a particular focus on the skills of the practice nurse (PN) in providing quit support. The Programme utilises the principles of brief intervention by the GP or PN followed by a systematic quit support programme delivered by trained practice nurses (quit advisors). Alternative implementation strategies and the provision of ongoing support and problem solving sessions were integral parts of the Programme. The evaluation used qualitative and quantitative methods to establish quit rates for participants enrolled in the Programme and explore the efficacy of programme delivery. RESULTS: The quit rates achieved by 85 smokers (from 14 general practices) enrolled in the Can Quit Practice Programme evaluation were; 25.9% at 3 months; 22.4% at 6 months; and 20.0% at 9 months. Important components of successful implementation were: an autonomous role for PNs; well-managed practice procedures; adequate consultation time; and adequate funding for health promotion. CONCLUSION: Smoking cessation programmes can be successfully implemented and maintained within general practices as an integrated part of primary healthcare.

Family Practice↗

Factors influencing alcohol consumption during pregnancy and after giving birth.

AIMS: This study explored the demographic profile of women consuming alcohol during pregnancy and after giving birth, as part of a larger cohort study of smoking during pregnancy. METHODS: This was a prospective study of a cohort of 665 women registered with a maternity care provider organisation for antenatal care in Wellington. Data were collected from postal questionnaires sent at intervals during gestation and the postnatal period. The questionnaires elicited information about smoking, alcohol consumption and demographic data. RESULTS: At 24 weeks gestation, 74% of women reported not consuming any alcohol in the preceding seven days. Women who were pregnant for the first time, women who experienced nausea, women who were socio-economically deprived and women who smoked were less likely to report having consumed alcohol. At six weeks after giving birth the number of women reporting not consuming any alcohol in the preceding seven days decreased to 46%. Socio-economic deprivation was associated with abstention and tertiary education with alcohol consumption. CONCLUSIONS: Approximately a quarter of women continue to drink alcohol during pregnancy. Health education aiming to reduce alcohol consumption in pregnancy needs to take into account the profile of women who drink during pregnancy.

Adult↗